Respiratory Imaging kompres.ppt

8/19/2019 Respiratory Imaging kompres.ppt

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DR SUBAGIA SANTOSA SP RAD

Respiratory Imaging


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Basic Conventional Imaging

We do conventional imaging s basic

Imaging : Black and white


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Contrast In Imaging

Black // white

Radio lucent // R Opaqueypo echoic // yper echoic

ypo intens // yper intens

Lucent

Intermediate

Semi-Lucent

Semi-Opaque

Opaque


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!osition photo processing

"# $! / !$

%# Right or &e't lateral

(# Oblique ) R$O ) R!O ) &$O and &!O

*# +angensial : so't tissue

,# Rekumben : prone or supine

-# .ekubitus : ray hori0ontal direction

1# 2emi erect : semi supine


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!hoto position diagram


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Chest Ray

+he most important in'ormation in conventionalrespiratory imaging


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Ro Imaging $natomi


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Respiratory .iagram


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a b


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Chest !hoto


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3 l C ' R &


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3eneral Concept o' Ro &ung!arenchym !athology


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$bnormality o' the diaphragm

4levation o' +he .iaphragm

Bilateral &ow !osition

5orgagnian 6oramina erniation2hort 4sophagus2liding +ype 4sophageal iatal ernia


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4levation o' +he .iaphragm


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Bilateral diaphragmatic elevation

2hallow inspiration $bdominal causes Obesity) pregnancy) ascites) large abdominal mass

!ulmonary causes7euromuscular causes


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Bilateral &ow !osition


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5orgagnian 6oramina erniation


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2hort 4sophagus


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2liding +ype 4sophageal iatal ernia


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+he !leura

!neumothora8!leural 4''usion2mall !arenchymal In'iltrate

&obar !neumoniae5assive !leural 4''usion5assive $telectasis!leural $dhesion

Interlobar 5a9or 6issure 4''usionInterlobar Right 5inor 6issure 4''usionCalci'ied !leura!leural +umor


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!neumothora8


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!leura e''usions

Transudate Exudate

Increased hydrostatic

pressure.ecreased colloid

oncotic pressure

Chylous e''usion

In'ection

5alignant disease ;ascular

$bdominal disease

Collagen vasculardisease


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!leural 4''usion


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2mall !arenchymal In'iltrate


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&obar !neumoniae


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5assive !leural 4''usion


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5assive $telectasis


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!leural

$dhesion


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Interlobar 5a9or 6issure 4'usion


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I l b i h i 'i ' i


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Interlobar right minor 'issure e'usion


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Calci'ied !leura

!l l +


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!leural +umor


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+horacic Cage $bnormality


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.i''use $bnormality o' +he &ung !arenchym

$telectasis..

&obar !neumoniae !leura 4''usion $telectasis 2egment 4mphysema

$t l t i


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$telectasis

&obar !ne moniae


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&obar !neumoniae

!leura 4''usion


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!leura 4''usion

$t l t i


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$telectasis

+umor Bronchogenic carcinoma Bronchial adenoid 5etastases

&ymphoma &ipoma) granular cell myoblastoma) amyloid

tumor)'ibroepithelial polyp

In'lamation +BC Right middle lobe syndrome 2arcoidosis


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5ucus plug 2evere chest/abdominal pain Respiratory depressant drug Chronic bronchitis

$sthma Cystic 'ibrosis Bronchopneumonia

Other

&arge le't atrium 6oreign body $myloidosis Wegener granulomatosis Bronchial transection

$telectasis


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$telectasis


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2egment 4mphysema


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2egment 4mphysema

! i & b ! i


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!neumoniae) &obar !neumoniae


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!ulmonary +uberculosis


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!ulmonary +uberculosis

4tiology :5ycobacterium tuberculosis

+ransmission : Inhalational

Congenital


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!rimary pulmonary +BC

Cavitation5assive hillar/paratracheal/subcarinal

lymadenopathy in >?@ on right side

$telectasis esp in right lung!leural e''usions

3hon lesions

Ranke comple8

2imon 'ocus

&ungs +uberculosis


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&ungs +uberculosis

In Childhood


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In Childhood


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In $dults


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In $dults

&ung Oedema


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&ung Oedema

+ranscapillary 'low dependent on ydrostatic pressure

Colloid osmotic pressure

Capillary permiability

5orphological +ypes : $lveolar air space type

Interstitial variety 5i8ed type

Bat Wing A &ung Oedema


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Bat Wing A &ung Oedema


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Broncho !neumoniae


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Broncho !neumoniae

&ung !arenchym nodular lesions


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&ung !arenchym nodular lesions

2ingle 7odular o' &ung !arenchym


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2ingle 7odular o' &ung !arenchym

&ung $bsces


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&ung $bsces

.. o' lung cavitary lesions


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.. )o' lung cavitary lesions

Bronchogenic Ca


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Bronchogenic Ca


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&ung +umours amartomas


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&ung +umours amartomas


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3ross di'' o' ;arious !arenchymal 2hadows


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3ross di'' o' ;arious !arenchymal 2hadows

5etastatic +umors o' +he &ung


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5etastatic +umors o' +he &ung


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!neumoconiosis


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Radiolucency o' the lung


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y g

Bronchiolitis4mphysema pulmonum

!neumothora8

Bronchiolitis


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4mphysema pulmonum


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p y p

&ung C+ scan


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g

2ome cases need C+ scan e8amination ) 'or moredetail in'ormation in lung / tracheo bronchialdiseases / abnormality


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2ome &ung C+ scan

e8aminations indications

"# +umor diagnosis


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g

!ulmonary and mediastinal tumors5etastases

+umor characteri0ation/ solitarynodules

+umor staging

%) .etection and quanti'ication o'


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q


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Biopsy ) bronchoscopy) bronchoalveolar lavage.i''erentiation o' pulmonary 'rom leural lesions

*# igh resolution C+ / RC+


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< .i''use lung disease = .etection o' subtle parenchymal changes

5orphologic characteri0ation

Duanti'ication o' parenchymal changes &ocali0ation 'or open lung biopsy or bronchoalveolar

lavage

$natomy


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Bronchiectasis


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+here are ( types

Cylindrical ;aricose Cystic


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Bronchiolitis


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$spergilosis


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+racheo Bronchial +umor 2taging


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+racheobronchial tumors


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!ulmonary 7odules


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$telectasis


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Respiratory Imaging kompres.ppt

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